Aytur Semra A, Jones Sydney A, Stransky Michelle, Evenson Kelly R
University of New Hampshire, 4 Library Way Hewitt Hall 335, Durham, NH 03824, USA.
Department of Epidemiology, Gillings School of Global Public Health, University of NC-Chapel Hill, 137 East Franklin Street, Suite 306, Chapel Hill, NC 27514, USA.
Curr Cardiovasc Risk Rep. 2015 Jan;9(1). doi: 10.1007/s12170-014-0423-4.
Chronic diseases such as cardiovascular disease (CVD) are major contributors to escalating health care costs in the USA. Physical activity is an important protective factor against CVD, and the National Prevention Strategy recognizes active living (defined as a way of life that integrates physical activity into everyday routines) as a priority for improving the nation's health. This paper focuses on developing more inclusive measures of physical activity in outdoor community recreational environments, specifically parks and trails, to enhance their usability for at-risk populations such as persons with mobility limitations. We develop an integrated conceptual framework for measuring physical activity in outdoor community recreational environments, describe examples of evidence-based tools for measuring physical activity in these settings, and discuss strategies to improve measurement of physical activity for persons with mobility limitations. Addressing these measurement issues is critically important to making progress towards national CVD goals pertaining to active community environments.
诸如心血管疾病(CVD)等慢性病是美国医疗保健成本不断攀升的主要原因。体育活动是预防心血管疾病的重要保护因素,《国家预防战略》将积极生活(定义为将体育活动融入日常生活的一种生活方式)视为改善国民健康的优先事项。本文着重于制定更具包容性的户外社区休闲环境(特别是公园和步道)中体育活动的衡量标准,以提高其对行动不便等高危人群的适用性。我们开发了一个用于衡量户外社区休闲环境中体育活动的综合概念框架,描述了在这些环境中衡量体育活动的循证工具示例,并讨论了改善行动不便者体育活动测量的策略。解决这些测量问题对于在与积极社区环境相关的国家心血管疾病目标方面取得进展至关重要。